There followed a lengthy discussion of what could be practically done, not just in transforming Alan Rutledge's body but also into making him believe that he was someone else, someone of a different sex. Mind conditioning and the use of subliminal messages were all brought forward.
They agreed that they needed to work on the areas most complicated and those that would take longest to heal, first, because of the time factor. Surgery on different areas of the body could be carried out at the same time. The main surgery was, of course, going to be the removal of Alan's genitalia and the creation of a vagina. They also were going to give Alan implants using the latest methods for total authenticity and make the breasts the exact size and shape of Marie's. This would require the need of breast suction pads to create enough loose skin in order to insert saline breast sacs.